What symptom does hiatal hernia have?

summary

Hiatal hernia is a disease caused by abdominal viscera (mainly stomach) entering thoracic cavity through hiatus. Hiatal hernia is the most common in diaphragmatic hernia, accounting for more than 90%, which belongs to gastroenterology diseases. Patients with hiatal hernia may be asymptomatic or mild. The severity of the symptoms has nothing to do with the size of the hernia sac and the severity of esophageal inflammation. What symptom does hiatal hernia have? Let's talk about it

What symptom does hiatal hernia have?

It shows burning sensation behind sternum or under xiphoid process, aversion to stomach contents, upper abdomen fullness, belching, pain, etc. The nature of the pain is mostly burning or acupuncture like pain, which can radiate to the back, shoulder, neck, etc. Lying on one's back, eating sweet food and acid food may induce and aggravate symptoms. The most common symptom is sliding hiatal hernia.

Bleeding hiatus hernia sometimes bleeding, mainly caused by esophagitis and hernia sac inflammation, mostly chronic small amount of bleeding, can cause anemia. Hernia into the stomach and intestinal ulcers can cause hematemesis and melena. Reflux esophagostenosis in patients with reflux symptoms, a small number of patients with qualitative stenosis, resulting in dysphagia, swallowing pain, vomiting after eating and other symptoms.

Incarceration of hernia sac is commonly seen in paraesophageal hernia. Acute incarceration may occur in patients with hiatal hernia if they have sudden severe epigastric pain accompanied with vomiting, can't swallow or have massive hemorrhage at the same time. When the hernia sac is large and oppresses the heart, lung and mediastinum, it can produce symptoms such as shortness of breath, palpitation, cough and cyanosis. When pressing the esophagus, you may feel food stagnation or dysphagia behind the sternum.

matters needing attention

(1) Lifestyle changes: (1) reduce food intake, mainly high protein and low-fat diet, avoid coffee, chocolate, drinking, etc., avoid lying down after meals and eating before going to bed. ② Sleep with head high and feet low, and raise the head of bed when lying. ③ Avoid bending down, wearing tight clothes, vomiting and other factors that increase intra-abdominal pressure. ④ Obesity should try to lose weight, chronic cough, long-term constipation should try to treat. For asymptomatic hiatal hernia and small hiatal hernia can be given appropriate treatment.